Hosana Home Health Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

23493601 Issued in PA

Legal business name

HOSANA HOME HEALTH CARE SERVICES, LLC

Practice address

215 Bullens LN
Woodlyn, PA 19094-2001

Phone

(484) 768-6963

Fax

(484) 423-3401

NPI assigned

Nov 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Ndunda Kitonga

Title

Ceo

Phone

(484) 768-6963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398314

Legal name

HOSANA HOME HEALTH CARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 11, 2019

Last certification

Oct 11, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 3, 2012 in PA

Enrollment address

215 Bullens LN
Woodlyn, PA 19094-2001

Listed as

Hosana Home Health Care Services, LLCCCN 398314

Ownership

Proprietary

Certified

Oct 11, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hosana Healthcare Solutions,LLC

  • In Home Supportive Care Agency
  • Center Valley, PA
  • NPI 1225679962
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lastasha R Jackson, CRNP

  • Family Nurse Practitioner
  • Woodlyn, PA
  • NPI 1356911325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1780058602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BULLENS LN",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190942001",
            "telephone_number": "484-768-6963",
            "fax_number": "215-689-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BULLENS LN",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190942001",
            "telephone_number": "484-768-6963",
            "fax_number": "484-423-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSANA HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "KITONGA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NDUNDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-768-6963"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "23493601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L Rodriguez MD PC
• George L. Rodriguez, M.D., P.C.
• George L. Rodriguez, M.D., P.C.
• Bruce H. Godick, D.M.D.
• Laura Heberley, RN, M.S., ATC
• Lastasha R Jackson, CRNP
• Randall King, PHARMD
• Kenneth Korab
• Sarayoobala Krishnan
• Devin M Layton, ED.D

• Home Health Agency in Woodlyn, PA
• Providers in Woodlyn, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.